HomeMy WebLinkAboutCertificate of Compliance - 295 REA STREET 10/9/2012 s °
•
PUBLIC HEALTH DEPARTMENT
Town of North Andover
Community Development Division
CE-Kr" TIFICATE """'F
COMPLIANCE
As of: October 9, 2012
This is to certify that the individual subsurface disposal system received a
SATISFACTORY INSPECTION of the:
Complete Repair and Construction of an
On-Site i
9
Todd Bateson
At:
Map 38 Lot 34
295 Rea Street
North Andover, MA 01845
The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily.
Susan Y. Sawyer, REHS/RS
Public Health Director
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fox 978.688.8416 Web www.townofnorthondover.com
TOWN OF NORTH ANDOVER , w0 TH «
Office of COMMUNITY DEVELOPMENT AND SERVICES a: •'� '•°gip
HEALTH DEPARTMENT
f/G OSGOOD STREET >'y
NORTH ANDOVER, \vlASSACH[ SETTS 01845 'ss US�t�
978.688.9540—Phone
Susan Y. Sawyer, REHS/RS 978.688.8476—FAX
Public Health Director E-MAIL: healthdept,�ztownofnorthandover.com
W EBSITE: http:',ww-w.townofnorthandover.com
TOWN OF NORTH ANDOVER
SEPTIC DISPOSAL SYSTEM - INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System/�constructed; ( ) repaired;
by
(Print Name)
located at
q WA Aaf--r
(Installation Address)
was installed in conformance with the North Andover Board of Health approved plan, originally
dated and last Revised on t0,0 with a design flow of
gallons per day. The materials used were in conformance with those
specified on the approved plan; the system was installed in accordance with the provisions of 310
CMR 15.000, Title 5 and local regulations, and the final grading agrees substantially with the
approved plan. All work is accurately represented on the As-b 'Wws bee submitted to
the Board of Health.
Bed inspection date:
Engineer de nt (Signature)
And- Print Na e
Final inspection date:
Enginee yi-Od r t' ' (Signature)
X, JAMAr�
And-Print Name
Installer: (Signature) Date:
And- Print Name
Engineer: _(Signature) Date: /
Jo�rjo
And-Print Name
Sullivan Engineering Group, LLC
Civil Engineers c Land Development Consultants
I ,D
September 27, 2012.
Town of North Andover � ���'�'�� 'k� l io�(
Health Dept—c/o Sue Sawyer
1.600 Osgood Street
North Andover, MA 01845
Re: 295 Rea Street ('Tax Map 38 Parcel 3 )
Septic As-Built
Susan;
Enclosed are two (2) copies of the Septic As-Built plan for the above property for your records. If you need
me to come into the office to sign the installers certificate just let me know.
Very Truly Yours,
Jack Sullivan, P.E.
22 Mount Vernon Road — Boxford,Massachusetts 01921 — (978)352-7871-Phone — 978 352-7871 -Fax
North Andover Health Department
Community Development Division
QNSITE WASTEWATER SYSTEM N T UCTI NOTES
LOCATION INFORMATION
ADDRESS: 295 Rea Street MAP:
LOT:
INSTALLER: Bateson Bros
DESIGNER: Sullivan Engineer
PLAN DATE: 2-1-12
BOH APPROVAL DATE ON PLANA-26-12
INSPECTIONS
TANK INSPECTION: 8-27-12
DATE OF BED BOTTOM INSPECTION:8-27-12
DATE OF FINAL CONSTRUCTION INSPECTION:
DATE OF FINAL GRADE INSPECTION:
SITE CONDITIONS
❑ Contractor reports any changes to design plan
❑ Existing septic tank properly abandoned
❑ Internal plumbing all to one building sewer
❑ Topography not appreciably altered
Comments:
SEPTIC TANK
❑ Building sewer in continuous grade, on
compacted firm base
❑ Cleanouts per plan
X Bottom of tank hole has 6" stone base
X Weep hole plugged
X 1500 gallon tank has been installed
loading
X Monolithic tank construction
❑ Water tightness of tank has been achieved by
testing
❑ Inlet tee installed, centered under access port
❑ Outlet tee installed, centered under access port
(gas baffle/effluent filter)
❑ inch cover to within 6" of final grade
installed over one access port
❑ Hydraulic cement around inlet & outlet
Comments:
PUMP CHAMBER
❑ Bottom of tank hole has 6" stone base
❑ Weep hole plugged
❑ gallon Pump Chamber installed
❑ loading
❑ Monolithic tank construction
❑ Inlet tee installed, centered under access port
❑ Pump(s) installed on stable base
❑ Alarm float working
❑ Pump On/Off floats working
❑ Separate on/off floats
❑ Drain hole in pressure line
❑ cover at final grade installed over pump
access port
❑ Water tightness of tank has been achieved by
testing
Comments: El Hydraulic cement around inlet & outlet
CONTROL PANEL
❑ Alarm & Pump are on separate circuits
❑ Alarm sounds when float is tripped
❑ Location of control panel: basement
❑ Alarm signal located inside: basement
Comments:
DISTRIBUTION-BOX
❑ Installed on stable stone base
❑ H-20 D-Box
❑ Inlet tee (if pumped or >0.08'/foot)
❑ Hydraulic cement around inlet & outlets
❑ Observed even distribution
❑ Speed levelers provided (not required)
Comments:
SOIL ABSORPTION SYSTEM (General)
X Bottom of SAS excavated down to C soil layer,
as provided on plan
X Size of SAS excavated as per plan
X Title 5 sand installed, if specified on plan
❑ 40 Mil HDPE barrier installed
❑ Laterals installed and ends connected to
header (and vented if impervious material
above)
❑ Elevations of laterals and chambers installed as on
approved plan
❑ Retaining wall (boulder/ concrete /timber/ block)
❑ Final cover as per plan
Comments: Remove larger rocks. 351 x 27'W x 36"D 11 Feet from house
SOIL ABSORPTION SYSTEM (Gravel-less Chambers)
❑ Brand and Model of Chamber: Standard Quick
4 Infiltrator Chambers
❑ Number of chambers per row:
❑ Number of rows (trenches):
Comments: Total Chambers =
BM =
HR =
HI =
SYSTEM ELEVATIONS
ROD AS-BLT INVERT DESIGN INVERT
ELEVATION ELEV ELEV
Benchmark
Building Sewer OUT
Septic Tank IN
Septic Tank OUT
Pump Chamber IN
Pump Chamber OUT
Distribution Box IN
Distribution Box OUT
Lateral 1 TOP
Lateral 1 INVERT
Lateral 2 TOP
Lateral 2 INVERT
Lateral 3 TOP
Lateral 3 INVERT
Lateral 4 TOP
Lateral 4 INVERT
Lateral 5 TOP
Lateral 5 INVERT
Lateral 6 TOP
Lateral 6 INVERT
Top of Chamber
Bottom of Bed/Chamber
CRITICAL SETBACK DISTANCES
Mark those distances checked in the field against the design plan and regulatory
setback
Tank SAS Sewer
® Property line 10 10 --
® Cellar wall 10 20 --
® Inground pool 10 20 --
® Slab foundation 10 10 --
® Deck, on footings, etc 5 10 --
® Waterline 10 10 10'
® Private drinking well 75 1002 50
® Irrigation well 75 100
® Surface Water 25 50
® Bordering Vegetated Wetland ,
Salt Marsh, Inland/Coastal Bank 75 100
® Wetlands bordering surface
water supply or trib. (in Watershed) 150 150
® Trib. to surface water supply 325 325
® Public well 400 400
® Interim Wellhead Prot. Area
® Reservoirs 400 400
® Drains (wat. supply/trib.) 50 100
® Drains (intercept g.w.) 25 50
® Drains (Other)Foundation 10(5) 20(10)
® Drywells 20 25
Suction line 222(2)
2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02).
3 As defined in 310 CMR 10.55, 10.32, 10.54,and 10.30,respectively,pursuant to 15.211(3),also by NA
wetland bylaws